EZ Systems.com Repairs by Fax
Before shipping us a drive for repair, please fill out the following form as completely as possible and then fax it back to us at 714-662-6859. 
Once we get it, we will issue you a repair authorization number RMA# for tracking purposes , put it on the form and fax it back to you.

RMA Form

EZ Systems
3480 W. Warner Ave. #A
Santa Ana, CA 92704
Tel:714-662-4959 
Fax:714-662-6859 

http://www.ezsystems.com
Email Address ?__________________________________

How did you find us ?__________________________

DATE:_______________________ RMA#:__________________ INVOICE#:_________________________________

BILL TO:Company:_____________________________________CONTACT:__________________________________
Street Address: ____________________________________________________________________________________
City, State, Zip:_____________________________________________________________________________________

**BLIND SHIP** Yes or No

SHIP TO:Company:_________________________________CONTACT:_________________________________
Street address:_________________________________________________________________________________
City, State, Zip: ________________________________________________________________________________
Buyer Contact:_____________________Phone#:________________ext.________Fax#:____________________
Technical Contact:________________Phone#:__________________ext._______Fax#:_____________________

MFG Model Serial Number Problem OS-B/U Software Amount Warranty
           
           
           
           
           

Warranty Repair:_______Paid Repair:______ Bench Fee:_______________ Turn Around:______________________

Terms:_______ Credit Card#:___________________________Exp:_____Holder Name:_________________________

Shipping: IN_______OUT_________________ Shipping Cost:________ Ins:________ COD:_______ Total:________

PO#__________________Laser not included:______

COMMENTS:__________________________________________________________
____________________________________________________________________